Organization
BRYANT PHARMACY & SUPPLY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KEVIN BRYANT (PRESIDENT)
(864) 202-8394
Entity
Organization
Contact information
Practice address
1901 N MAIN STREET, ANDERSON, SC 29621
(864) 224-0711
(864) 226-8331
Mailing address
104A NORTH AVE, ANDERSON, SC 29625-3512
(864) 716-0018
(864) 844-9085
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
MCARE033170001
SC
332B00000X
Durable Medical Equipment & Medical Supplies
SCMCAIDDMES04
SC
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
333600000X
Pharmacy
S0004005
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000863574Y
—
GA
05
—
DME504
—
SC
Enumeration date
05/18/2006
Last updated
02/16/2021
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